Syncope and Hypoglycemia

Lagi, Alfonso

doi:10.4236/ijcm.2011.22023

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Based on the data collected through the medical record from RSUD Dr. Soetomo Hospital Surabaya hospital about the sex and age group of the patient based in table 1 showed that the age group of patients was mostly over 65 years, as many as 39.8%. This result is in line with a previous study that described patients over 65 years of age who failed to experience autonomic neuroglycopenic and hypoglycemic symptoms because they have a slow response or awareness of hypoglycemic events (11) (12). In this study, females had a higher prevalence of 66,3%, which was in line with previous studies where the most sex group prevalence was female patients with hypoglycemia in T2DM was 57.44% (13).…”

Section: Discussionsupporting

confidence: 93%

Profile Of Type 2 Diabetes Mellitus Patients With Hypoglycemia Events In RSUD Dr. Soetomo Hospital, Surabaya from January 2019 - March 2021

Putri¹,

Wironegoro²,

Sari³

2022

IJRP

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Background: Hypoglycemia is a decrease in blood glucose levels which is the most common side effect of diabetes mellitus due to its treatment and is rarely a concern for patients and health workers. However, because the patient neglects the mild hypoglycemia symptoms, they cannot be immediately identified and treated. Each Type 2 diabetes mellitus (T2DM) patient with hypoglycemia has a different profile and manifestations.Objective: This study aims to identify the demography, clinical, and laboratory profiles of T2DM patients who experience hypoglycemia in the inpatient unit of RSUD Dr. Soetomo Hospital Surabaya from January 2019 -March 2021. Material and method: This study is a retrospective descriptive study. Medical record data were collected through total sampling, then processed descriptively, and presented as a frequency distribution table. Results:The samples of this study were 83 T2DM patients with hypoglycemia. The most age group was > 65 years, with 33 (39.8%) patients. The most gender group was female in 55 (66.3%) patients, the most common chief complaint was decreased consciousness in 47 (56.6%) patients, and the most common results of head physical examination were anemic conjunctiva in 43 (51.8%) patients. Extremity examination results 13 (15.7%) patients had wounds, and 10 (12.0%) patients had edema. The results of the random plasma glucose (RPG) examination <40 mg/dl in 62 (74.7%) patients, low Hb in 66 (79.5%) patients, high leukocytes in 47 (56.6%) patients, and high BUN in 52 (62.7%) patients. SK was high in 42 (50.6%) patients, and albumin was low in 56 (67.5%) patients. Conclusion: From this study, T2DM patients with hypoglycemia events were highly female and primarily found in patients over 65 years with severe hypoglycemia. The most common chief complaint was decreased consciousness, and the most common laboratory result was anemia, leukocytosis, high BUN, high SK, and hypoalbuminemia.

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Section: Discussionsupporting

confidence: 93%

Profile Of Type 2 Diabetes Mellitus Patients With Hypoglycemia Events In RSUD Dr. Soetomo Hospital, Surabaya from January 2019 - March 2021

Putri¹,

Wironegoro²,

Sari³

2022

IJRP

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“…This result was similar to the finding obtained by Lagi A. [21], who found that hypoglycemia syncope was unconscious and affected 1.9% of diabetic patients using insulin therapy. In addition, older diabetic patients exhibit a slower recovery from the transient loss of conscious, such as confusion, in the absence of autonomic manifestations, such as sweating.…”

Section: Discussionsupporting

confidence: 92%

Risk Factors for Hospitalization Due to Hypoglycemia in Diabetic Patients in Northeast Thailand

Poosakaew¹,

Kesssomboon²,

Smith³

2014

JDM

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Background: Hypoglycemia among diabetic patients is a major complication, which results in high morbidity and mortality. Hospitalization provides the inadequate patient care and management. Objective: The aim of this study was to determine the potential risk factors for hospitalization due to hypoglycemia among diabetic patients. Method: In a case-control study, the cases were diabetic patients admitted due to hypoglycemia. Controls were diabetic patients admitted for other reasons. The cases and control subjects were recruited from the inpatient department of the middle level hospital in Northeast Thailand. The total sample size was 360 patients who met the criteria and had been hospitalized. The number of case was 90, and the number of controls was 270. The data were analyzed by determining the adjusted odds ratio, and 95% confidence interval of the ORs using multiple logistic regression models. Results: Using a multivariate logistic regression model, five variables were significantly associated with hospitalization due to hypoglycemia among diabetic patients: 1) patients who received insulin injections (AOR = 20.75; 95% CI: 4.7-91.41; p = 0.001); 2) patients who did not carry sugar candy or a dessert with them at all times (AOR = 13.89; 95% CI: 1.92-100.31; p = 0.01); 3) patients with an occurrence of hypoglycemia at least once a week at home(AOR = 8.83; 95% CI: 2.58-30.20; p = 0.001); 4) patients who were adjusted for doses of medication on their own (AOR = 6.62; 95% CI: 1.30-33.70; p = 0.02); and 5) patients who lacked knowledge did not understand the causes and symptoms of low blood sugar (AOR = 7.97; 95% CI: 1.97-32.22; p = 0.001). Conclusion: Receiving insulin injection and poor knowledge and self-care of hypoglycemia prevention were the best predictors of hospitalization due to hypoglycemia among diabetic patients. These factors need to be adequately addressed in order to provide better care and management to prevent hospitalization among diabetic patients.

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“…The link between syncope and hypoglycaemia is controversial, although transient hypoglycaemia is classified among the causes of loss of consciousness . Recovery of consciousness is linked to spontaneous normalisation of glycaemia.…”

Section: Introductionmentioning

confidence: 99%

Incidence of hypoglycaemia associated with transient loss of consciousness. A retrospective cohort study

2014

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Syncope and Hypoglycemia

Abstract: ABSTRACT

Cited by 5 publications

References 10 publications

Profile Of Type 2 Diabetes Mellitus Patients With Hypoglycemia Events In RSUD Dr. Soetomo Hospital, Surabaya from January 2019 - March 2021

Profile Of Type 2 Diabetes Mellitus Patients With Hypoglycemia Events In RSUD Dr. Soetomo Hospital, Surabaya from January 2019 - March 2021

Risk Factors for Hospitalization Due to Hypoglycemia in Diabetic Patients in Northeast Thailand

Incidence of hypoglycaemia associated with transient loss of consciousness. A retrospective cohort study

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